EP3003198A1 - Dispositif adaptateur pour table d'opération - Google Patents

Dispositif adaptateur pour table d'opération

Info

Publication number
EP3003198A1
EP3003198A1 EP14723830.7A EP14723830A EP3003198A1 EP 3003198 A1 EP3003198 A1 EP 3003198A1 EP 14723830 A EP14723830 A EP 14723830A EP 3003198 A1 EP3003198 A1 EP 3003198A1
Authority
EP
European Patent Office
Prior art keywords
longitudinal profile
joint
operating table
side rail
clamping
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
EP14723830.7A
Other languages
German (de)
English (en)
Other versions
EP3003198B1 (fr
Inventor
Robert Vogtherr
Thomas Beck
Pedro Morales
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Aesculap AG
Original Assignee
Aesculap AG
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Aesculap AG filed Critical Aesculap AG
Publication of EP3003198A1 publication Critical patent/EP3003198A1/fr
Application granted granted Critical
Publication of EP3003198B1 publication Critical patent/EP3003198B1/fr
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • FMECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16BDEVICES FOR FASTENING OR SECURING CONSTRUCTIONAL ELEMENTS OR MACHINE PARTS TOGETHER, e.g. NAILS, BOLTS, CIRCLIPS, CLAMPS, CLIPS OR WEDGES; JOINTS OR JOINTING
    • F16B2/00Friction-grip releasable fastenings
    • F16B2/02Clamps, i.e. with gripping action effected by positive means other than the inherent resistance to deformation of the material of the fastening
    • F16B2/06Clamps, i.e. with gripping action effected by positive means other than the inherent resistance to deformation of the material of the fastening external, i.e. with contracting action
    • F16B2/065Clamps, i.e. with gripping action effected by positive means other than the inherent resistance to deformation of the material of the fastening external, i.e. with contracting action using screw-thread elements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • A61G13/101Clamping means for connecting accessories to the operating table
    • AHUMAN NECESSITIES
    • A47FURNITURE; DOMESTIC ARTICLES OR APPLIANCES; COFFEE MILLS; SPICE MILLS; SUCTION CLEANERS IN GENERAL
    • A47CCHAIRS; SOFAS; BEDS
    • A47C21/00Attachments for beds, e.g. sheet holders, bed-cover holders; Ventilating, cooling or heating means in connection with bedsteads or mattresses
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/50Supports for surgical instruments, e.g. articulated arms
    • FMECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16BDEVICES FOR FASTENING OR SECURING CONSTRUCTIONAL ELEMENTS OR MACHINE PARTS TOGETHER, e.g. NAILS, BOLTS, CIRCLIPS, CLAMPS, CLIPS OR WEDGES; JOINTS OR JOINTING
    • F16B2/00Friction-grip releasable fastenings
    • F16B2/02Clamps, i.e. with gripping action effected by positive means other than the inherent resistance to deformation of the material of the fastening
    • F16B2/06Clamps, i.e. with gripping action effected by positive means other than the inherent resistance to deformation of the material of the fastening external, i.e. with contracting action
    • FMECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16CSHAFTS; FLEXIBLE SHAFTS; ELEMENTS OR CRANKSHAFT MECHANISMS; ROTARY BODIES OTHER THAN GEARING ELEMENTS; BEARINGS
    • F16C11/00Pivots; Pivotal connections
    • F16C11/04Pivotal connections
    • F16C11/10Arrangements for locking
    • FMECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16CSHAFTS; FLEXIBLE SHAFTS; ELEMENTS OR CRANKSHAFT MECHANISMS; ROTARY BODIES OTHER THAN GEARING ELEMENTS; BEARINGS
    • F16C11/00Pivots; Pivotal connections
    • F16C11/04Pivotal connections
    • F16C11/10Arrangements for locking
    • F16C11/103Arrangements for locking frictionally clamped
    • FMECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16MFRAMES, CASINGS OR BEDS OF ENGINES, MACHINES OR APPARATUS, NOT SPECIFIC TO ENGINES, MACHINES OR APPARATUS PROVIDED FOR ELSEWHERE; STANDS; SUPPORTS
    • F16M13/00Other supports for positioning apparatus or articles; Means for steadying hand-held apparatus or articles
    • F16M13/02Other supports for positioning apparatus or articles; Means for steadying hand-held apparatus or articles for supporting on, or attaching to, an object, e.g. tree, gate, window-frame, cycle
    • F16M13/022Other supports for positioning apparatus or articles; Means for steadying hand-held apparatus or articles for supporting on, or attaching to, an object, e.g. tree, gate, window-frame, cycle repositionable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/50Supports for surgical instruments, e.g. articulated arms
    • A61B90/57Accessory clamps
    • A61B2090/571Accessory clamps for clamping a support arm to a bed or other supports
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2203/00General characteristics of devices
    • A61G2203/70General characteristics of devices with special adaptations, e.g. for safety or comfort
    • A61G2203/78General characteristics of devices with special adaptations, e.g. for safety or comfort for clamping

Definitions

  • the present invention relates to an adapting device for releasable
  • Divided table segments that are adjustable and positioned relative to each other so that the operating table can be adapted to the type of surgery, the particular operating situation and size and shape of the patient.
  • Cardiac surgery for example, often requires that the upper body of the patient be stored at a defined angle higher than the legs and hips. This is achieved by tilting the head-side segments of the operating table.
  • the side rails of the operating table are like the table itself
  • each table segment is one
  • Infusion holder or used for a instrument calibration table It is about the ball joint, a vertical orientation of the holder or a
  • From DE 403952 is a coupling device for connecting a
  • Instrument table with an operating table or the like in which an instrument table with a clamp on a longitudinal rail of the
  • the clamp carries one
  • a rod is rotatable, which carries on one side of the instrument table and on the opposite side a counterweight.
  • the counterweight keeps the instrument table in balance in every position of the operating table.
  • the devices of the prior art are disadvantageously either adjustable clamping with possibilities, but each can accommodate only one additional device, or there are additional rails that may carry several additional devices, but relative to each
  • Adjustment device when adjusting the operating table or one of its individual segments to be set individually to the new configuration of the table. This is time consuming and impractical, especially when the adjustments to the operating table are necessary during surgery.
  • OR tables were usually covered with sterile towels, so that the table rails disappear under the towels.
  • the present invention seeks to provide an adapter for releasably attaching attachments to one of the side rails of a surgical table, which allows easier handling.
  • an adapter should be provided which is universal for conventional
  • Additional devices can be used, record a plurality of accessories and attach to an operating table, by a user simple, safe, accurate and quickly adjustable and adjustable and
  • the joint has a single pivoting degree of freedom with a pivoting possibility of the longitudinal profile in a vertical plane.
  • the ancillary devices are slidably received on the longitudinal profile, preferably in the longitudinal direction, so that they can be easily positioned relative to one another.
  • other adapters can also be attached to the longitudinal profile become.
  • the adapter device has a mounting part, for example in the form of said clamping device or screw clamp, to which an operating table rail simulation part is articulated via a lockable hinge.
  • the operating table rail simulator thus has the operating table rail simulating (simulating) longitudinal profile, which is arranged in the mounted state above a sterile cloth in the sterile room and is clearly visible.
  • the lockable hinge is located on one side of the
  • the longitudinal profile can be pivoted during an OP in the form of a pitching movement relative to the longitudinal profile extension.
  • the joint can be designed lockable in a variety of ways.
  • the joint can be locked by means of positive locking and locked, preferably by a locking element engages in a recess or in one of a plurality of recesses of the joint.
  • a positive locking option is advantageous fast, easy and safe to use.
  • the locking element may be a spring-loaded tension bolt, which engages in rest position, in which it is biased in one of the recesses and can be released by manually applied train against the spring load from the recess.
  • the joint can be locked or locked by frictional connection, preferably by a clamping screw clamps the joint.
  • Locking traction offers the advantage of very fine individually selectable adjustment options.
  • the joint of the adapter device according to the invention can also be equipped with several degrees of freedom of movement, in particular be designed as a rotary or ball joint. The selection is done depending on the number of degrees of freedom desired for settings of the adapter.
  • the clamping device forms a first part of the joint, while the longitudinal profile or one with the
  • the clamping device may in particular be designed in the manner of a clamping block or be a clamping block.
  • a Spannkloben can be advantageously arranged on a side rail of an operating table. He usually has a recess or groove into which a common side rail can be easily inserted. The depression or groove can with a
  • Side rail can be safely and correctly recorded in position.
  • the side rail is in the recess or groove by means of a clamping device, e.g. in the form of a clamping screw or clamping lever or a pressure plate actuated thereby to clamp.
  • a clamping device e.g. in the form of a clamping screw or clamping lever or a pressure plate actuated thereby to clamp.
  • the adapter device has an arm or arm, which then the longitudinal profile at a distance ( Height distance) from the pivot axis of
  • the arm can also be used to compensate for the height of an operating table overlay.
  • the arm serves as a handle in an adjustment or adjustment of the adapter. He can also in particular a Recess or have a free space that can be used as a handle. With particular advantage, the arm can be angular with two arm elements
  • each arm element can be arranged on the one hand on the hinge and on the other hand on the longitudinal profile.
  • the longitudinal profile is particularly stable secured and supported by the arm and the arm is formed as a handle simply shaped, whereby easy cleaning is possible.
  • Edges of the trained as a handle arm be rounded.
  • Adapting device can be used.
  • the cross section of the longitudinal profile may be round.
  • the longitudinal profile can have end stops that prevent accidental release of the arranged thereon
  • FIG. 1 shows a first embodiment of an adapter device according to the invention in a perspective view
  • FIG. 2 shows the adapter device of FIG. 1 in a side view
  • Fig. 4 shows another embodiment of an adapter according to the
  • the adapter shown in Figures 1, 2 and 3 has a
  • Clamp 1 as a clamping device with which the adapter can be clamped to a not shown in the figures side rail of an operating table.
  • the clamping block 1 has a groove 10, via which it can be pushed onto the side rail.
  • the groove 10 is on its one
  • this is equipped with a lever 12 over which the clamping screw can be easily and safely tightened and released.
  • the lever 12 is by means of a pin 14 at the
  • Tensioning screw 9 pivotally mounted so that it, in order to tighten or loosen this, aligned transversely to the longitudinal axis of the clamping screw 9 and otherwise in a non-disabling the operation of the adapter, in the Oriented substantially in the longitudinal direction of the clamping screw 9, can be brought.
  • a quick-release element can be used, as it is known from the cycling for attaching wheels in forks.
  • a pivot axis 2 is arranged, which is perpendicular to the plane of the form-fitting with the groove 10 side rail perpendicular, d. H. perpendicular to the bottom of the groove.
  • the pivot axis protrudes beyond the groove 10 on the side facing away from the Spannklobens 1 and carries an arm 3.
  • the arm 3 is rotatably received on the pivot axis 2 around this, so that between the arm 3 and the clamping block 1, a joint 24, here in the form of a hinge / hinge, is formed. Consequently, the clamping block 1 and the arm are pivotable relative to each other about the pivot axis 2.
  • the end of the pivot axis 2 may be formed as a ball which is received in a corresponding dome of the arm 3, so that the arm 3 not only, as shown in the figures, to the
  • the arm 3 has two arm elements or struts 3a and 3b. These are arranged angularly to each other and form between them a V-shaped space 7, in which a user can engage in handling and in particular in a pivoting and adjusting the adapter and one of the arm members 3a, 3b or both can use as a handle.
  • the directed to the free space 7 edges of the arm members 3a, 3b are rounded.
  • Arm members 3a, 3b serving as an additional rail longitudinal profile 4.
  • This can be connected in any suitable manner with the arm members 3a, 3b or formed integrally therewith.
  • Fig. 2 shows that the longitudinal profile 4 is arranged outside the plane of the arm 3, at its side facing away from the clamping block 1 side. Between the longitudinal profile 4 and each arm element 3a, 3b, a spacer 13 is arranged in each case, which ensures a sufficient distance of the longitudinal profile 4 from the plane of the arm 3, so that additional devices without restriction by the arm members 3a, 3b arranged on the longitudinal profile 4 and adjusted and can be moved on this.
  • the arm 3 carries the longitudinal profile 4 of the pivot axis 2 in the orthogonal direction at a distance, the height of an operating table support, so the distance from the lying surface for a patient from the side rail of the operating table, can be compensated.
  • the length of the longitudinal profile 4 is designated by LL. This length is LL
  • the longitudinal profile 4 has a cross-section that is standardized in terms of dimensions and geometry
  • Cross section corresponds to a conventional side rail of an operating table.
  • a the arm 3 facing sliding surface of the clamping block 1 is connected to the
  • This sliding surface 26 is provided with recesses 23, preferably in the form of recesses, which can be seen in FIGS. 1 and 4, in order to improve and facilitate cleaning of this sliding surface.
  • the adapter shown in Figures 1 to 3 can be locked by means of a bolt 5 in a desired position.
  • the locking is done by positive locking of the bolt in the arm (or in the clamping piston 1)
  • the bolt 5 is connected to a shaft, not shown in the figures, fixed to the clamping block 1, for example screwed into this.
  • a sleeve 16 surrounding the shaft which is widened at its end remote from the clamping block 1 to an actuating knob 17.
  • the outer dimension of the sleeve 16 is greater than that of the shaft.
  • the shank and the sleeve 16 of the bolt 5 are by means of a spring, not shown in the figures
  • the outer dimension of the sleeve 16 is matched to the inner dimension of the latching structures 6, that is between these positive locking when the sleeve 16 engages in one of the latching structures 6. Due to this positive connection of the arm 3 is locked relative to the clamping block 1.
  • the spring bias urges the sleeve 16 of the bolt 5 always in this positive connection. To solve the lock a user grabs the
  • Detent structures 16 because of the smaller outer dimension of the shaft, the arm 3 can be pivoted about the pivot axis 2. Due to the defined distances of the latching structures 6, the adjustability of the arm 3 is stepped.
  • FIG. 4 A continuously adjustable embodiment of the pivot joint is shown in FIG. 4.
  • this embodiment instead of the bolt 5 is a
  • Clamping screw 18 is provided, which passes through a bent slot 19 and is screwed directly or indirectly to the clamping block 1.
  • the slot 19 is not provided with locking structures, but has smooth side walls and its curvature and position relative to the pivot axis 2 corresponds to that of the elongated hole 15 of the embodiment shown in Figures 1 to 3.
  • the clamping screw 18 On the side opposite the clamping block 1 side of the arm 3 is the clamping screw
  • the longitudinal profile 4 does not correspond to the cross-section of a standardized side rail of an operating table, but as a round bar 20 with end stops 21 on both sides and with Recesses 22 or flats 22 is formed.
  • the end stops 21 prevent an attachment from accidentally sliding from the round bar 20.
  • the recesses 22 allow the mounting and dismounting of additional devices to and from the round rod 20, wherein the
  • Recesses 22 are designed and can be assembled or disassembled only in the region of these recesses 22.
  • the round bar 20 of FIG. 4 with the stepped locking according to Figures 1 to 3 and the stepless lock according to Fig. 4 is combined with the longitudinal profile 4 of Figures 1 to 3.
  • the adaptation device of FIG. 4 otherwise corresponds to the adaptation device illustrated in FIGS. 1 to 3.

Landscapes

  • Engineering & Computer Science (AREA)
  • General Engineering & Computer Science (AREA)
  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Mechanical Engineering (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Pathology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)

Abstract

La présente invention concerne un dispositif adaptateur servant à la fixation amovible d'instruments de maintien, d'instruments supplémentaires, de tables à instrumenter et similaires à un rail latéral d'une table d'opération, comprenant un dispositif de serrage (1) à l'aide duquel le dispositif adaptateur peut être serré sur le rail latéral de la table d'opération, un profilé longitudinal (4) auquel les instruments de maintien, les instruments supplémentaires, les tables à instrumenter et similaires peuvent être fixés de manière amovible, et une articulation (24) munie d'au moins un axe de rotation (2) qui est formée entre le dispositif de serrage (1) et le profilé longitudinal (4) afin de permettre au profilé longitudinal (4) de pivoter autour de l'axe de rotation (2) de l'articulation (24) par rapport au dispositif de serrage (1).
EP14723830.7A 2013-05-24 2014-05-15 Dispositif adaptateur pour table d'opération Active EP3003198B1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102013105374.2A DE102013105374A1 (de) 2013-05-24 2013-05-24 Adaptiervorrichtung für einen OP-Tisch
PCT/EP2014/059934 WO2014187721A1 (fr) 2013-05-24 2014-05-15 Dispositif adaptateur pour table d'opération

Publications (2)

Publication Number Publication Date
EP3003198A1 true EP3003198A1 (fr) 2016-04-13
EP3003198B1 EP3003198B1 (fr) 2017-07-12

Family

ID=50721809

Family Applications (1)

Application Number Title Priority Date Filing Date
EP14723830.7A Active EP3003198B1 (fr) 2013-05-24 2014-05-15 Dispositif adaptateur pour table d'opération

Country Status (7)

Country Link
US (1) US9850924B2 (fr)
EP (1) EP3003198B1 (fr)
CN (1) CN105246447B (fr)
AU (1) AU2014270573A1 (fr)
DE (1) DE102013105374A1 (fr)
ES (1) ES2638690T3 (fr)
WO (1) WO2014187721A1 (fr)

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WO2016164824A1 (fr) 2015-04-09 2016-10-13 Auris Surgical Robotics, Inc. Système chirurgical doté de bras mécaniques configurables montés sur rail
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WO2016187054A1 (fr) 2015-05-15 2016-11-24 Auris Surgical Robotics, Inc. Système robotique chirurgical
DE102016216996A1 (de) * 2016-09-07 2018-03-08 Trumpf Medizin Systeme Gmbh + Co. Kg Verbindungseinrichtung und Verfahren zum Entriegeln der Verbindungseinrichtung
JP6847218B2 (ja) * 2016-11-28 2021-03-24 バーブ サージカル インコーポレイテッドVerb Surgical Inc. 望ましくない振動を低減するためのロボット外科用システム
EP3357472A1 (fr) * 2017-02-07 2018-08-08 Koninklijke Philips N.V. Rail pour accessoire coulissant permettant de maintenir un équipement sur un support de patient
US10743961B2 (en) * 2017-12-29 2020-08-18 Varghese THOMAS Device for surgical assistance
WO2019135998A1 (fr) * 2018-01-08 2019-07-11 Hendricks James Appareil de support de sécurité
US10517692B2 (en) 2018-01-17 2019-12-31 Auris Health, Inc. Surgical platform with adjustable arm supports
US11202683B2 (en) 2019-02-22 2021-12-21 Auris Health, Inc. Surgical platform with motorized arms for adjustable arm supports
KR20210137508A (ko) 2019-03-08 2021-11-17 아우리스 헬스, 인코포레이티드 의료 시스템 및 응용을 위한 틸트 메커니즘
WO2020205005A1 (fr) 2019-04-02 2020-10-08 Quipt, Llc Mécanisme de pince et plateau associé
US11478101B2 (en) * 2020-01-09 2022-10-25 Hunter Douglas Inc. Adjustable mount assembly for mounting a covering rod relative to an architectural structure and related mounting system
CN111946970A (zh) * 2020-08-27 2020-11-17 边会婷 一种电子监控用便于拆装的安装结构
CN220938089U (zh) * 2020-12-31 2024-05-14 杭州德晋医疗科技有限公司 介入器械操控辅件及介入式医疗系统
CZ309331B6 (cs) * 2021-06-28 2022-08-31 Alcadrain s.r.o. Opěrná patka pro připojení montážního rámu ke stavebnímu profilu konstrukčního systému

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Also Published As

Publication number Publication date
US20160076566A1 (en) 2016-03-17
CN105246447A (zh) 2016-01-13
EP3003198B1 (fr) 2017-07-12
AU2014270573A1 (en) 2015-11-12
US9850924B2 (en) 2017-12-26
ES2638690T3 (es) 2017-10-23
DE102013105374A1 (de) 2014-11-27
WO2014187721A1 (fr) 2014-11-27
CN105246447B (zh) 2018-01-23

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